Mascarenhas Ana Karina, Vig Katherine, Joo Bo-Hoon
Department of Health Policy and Health Services Research, Goldman School of Dental Medicine, Boston University, Boston, Mass, USA.
Pediatr Dent. 2005 Nov-Dec;27(6):451-6.
The purpose of this study was to compare the quality of orthodontic care between orthodontists and pediatric dentists when measured by parental satisfaction.
Six pediatric dentists and 5 orthodontists participated in the study. Quality of care was measured using the peer assessment rating (PAR) occlusal index, treatment duration, and parental satisfaction. Parental satisfaction was evaluated using a 25-item questionnaire measuring 3 dimensions: (1) treatment process; (2) psychosocial effects of treatment; and (3) treatment outcomes. The questionnaire items were scored on a scale of "strongly disagree" to "strongly agree."
At baseline, no differences were seen in the gender, starting dentition, and permanent teeth extractions of patients treated by the orthodontist and pediatric dentists. Statistically significant differences were seen in patients': (1) pretreatment age; (2) race; (3) primary teeth extractions; (4) treatment stages; and (5) pre-PAR scores. No statistically significant differences between orthodontists and pediatric dentists were observed regarding overall parental satisfaction or the dimensions of satisfaction. These results did not change after controlling for potential confounding factors such as patient's age, gender, starting dentition, treatment stage, extraction recommendations, pre-PAR score, treatment duration, and percentage PAR reduction.
The quality of orthodontic care, when measured by parental satisfaction, was similar between orthodontists and pediatric dentists. This indicates that, as far as parents are concerned, pediatric dentists performed orthodontic treatment to the same high standard as orthodontists.
本研究的目的是通过家长满意度来比较正畸医生和儿童牙医的正畸治疗质量。
6名儿童牙医和5名正畸医生参与了本研究。使用同行评估评级（PAR）咬合指数、治疗时长和家长满意度来衡量治疗质量。使用一份包含25个条目的问卷对家长满意度进行评估，该问卷测量三个维度：（1）治疗过程；（2）治疗的心理社会影响；（3）治疗结果。问卷条目按照“强烈不同意”到“强烈同意”的等级进行评分。
在基线时，正畸医生和儿童牙医治疗的患者在性别、起始牙列和恒牙拔除情况方面没有差异。在患者的以下方面观察到了统计学上的显著差异：（1）治疗前年龄；（2）种族；（3）乳牙拔除情况；（4）治疗阶段；（5）PAR评分前得分。在总体家长满意度或满意度维度方面，未观察到正畸医生和儿童牙医之间存在统计学上的显著差异。在控制了潜在的混杂因素（如患者年龄、性别、起始牙列、治疗阶段、拔牙建议、PAR评分前得分、治疗时长和PAR降低百分比）后，这些结果没有改变。
通过家长满意度衡量，正畸医生和儿童牙医的正畸治疗质量相似。这表明，就家长而言，儿童牙医进行正畸治疗的标准与正畸医生一样高。
